Healthcare Provider Details

I. General information

NPI: 1811402407
Provider Name (Legal Business Name): AUBREY CROWE BSN, CCRN, DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2017
Last Update Date: 12/28/2023
Certification Date: 12/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 WINDSOR PL
JACKSONVILLE FL
32205-7910
US

IV. Provider business mailing address

1415 WINDSOR PL
JACKSONVILLE FL
32205-7910
US

V. Phone/Fax

Practice location:
  • Phone: 904-625-0106
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN9283687
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: